Individual provider Active NPI

Barbara Moscoso

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1770999286
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
132712 Issued in FL
Practice address
6875 W 4TH Ave
Hialeah, FL 33014-5337
Phone
(305) 323-8994
Fax
(305) 824-1222
NPI assigned
Jul 3, 2014
Last updated
Dec 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 132712 FL Primary

Addresses

Primary practice location

6875 W 4TH Ave
Hialeah, FL 33014-5337

Mailing address

6875 W 4TH Ave
Hialeah, FL 33014-5337
Phone (305) 323-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230112000364 FL Practitioner - Internal Medicine 0143599571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6875 W 4TH Ave
Hialeah, FL 33014-5337
Phone (305) 323-8994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
132712FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moscoso Medical Group Inc Single Specialty CurrentSince Dec 1, 2022 Accepting new patients
Dr Edel Abreu MD PA Single Specialty PastSince Dec 1, 2022 Accepting new patients

Locations

6875 W 4th Ave
Hialeah, FL 33014
Phone (305) 323-8994

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1770999286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6875 W 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330145337",
            "telephone_number": "305-323-8994",
            "fax_number": "305-824-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6875 W 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330145337",
            "telephone_number": "305-323-8994",
            "fax_number": "305-824-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCOSO",
        "first_name": "BARBARA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "132712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.